Trump's agenda includes policies that undermine the social safety net and affect healthcare funding, particularly through a significant reconciliation package. This legislation could damage Republican efforts moving forward, especially for potential successors like J.D. Vance. Trump's approach deviates from traditional populism by not aligning social conservatism and immigration with welfare state preservation. Cuts to Medicare and Medicaid totaling $1.1 trillion could lead to political backlash, echoing previous failures of healthcare reform that impacted midterm elections.
The so-called One Big Beautiful Bill is bound to be a tremendous albatross for the Republicans charged with shepherding Trump's agenda through Congress.
Failed attempts to repeal the Affordable Care Act in 2017 fueled a Democratic midterm wave the following year.
Cuts of $1.1 trillion from the healthcare system, including nearly a trillion from Medicaid, will do a great deal of tangible damage.
Republican politicians may fantasize about a world where Medicaid cuts merely torment, but they will soon face the reality of these consequences.
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